| DRAFT | Control Number: 2060-XXXX | |
| Expiration Date: XX-XX-XXXX | ||
| Company Name | ||
| Company Address | ||
| Contact Name | ||
| Contact Email | ||
| Contact Phone Number | ||
| 1a. Do you provide HFCs for use in a propellant in metered dose inhalers? | ||
| 1b. Do you provide HFCs for use in defense sprays? | ||
| 1c. Do you provide HFCs for use in structural composite preformed polyurethane foam for marine and trailer use? | ||
| 1d. Do you provide HFCs for use in the etching of semiconductor material or wafers and the cleaning of chemical vapor deposition chambers within the semiconductor manufacturing sector? | ||
| 1f. Do you provide HFCs for use in on board aerospace fire suppression? | ||
| This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2060-XXXX). Responses to this collection of information are voluntary. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The public reporting and recordkeeping burden for this collection of information is estimated to range from 8 to 38 hours. Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates and any suggested methods for minimizing respondent burden to the Regulatory Support Division Director, U.S. Environmental Protection Agency (2821T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address. | ||
| EPA Form # 5900-497 | ||
| DRAFT |
| 2 Which HFCs do you provide for use in the applications listed in subsection (e)(4)(B)(iv) of the AIM Act? |
| DRAFT | ||||||||
| 3. Which companies do you provide HFCs to for each application? | 4. What is the annual quantity (in kilograms) of each HFC that is provided to each company using the HFC for each application? Please provide annual data for 2018, 2019, and 2020. | 5. Is your company providing recovered, recycled or reclaimed HFCs for use in each applicable application? If so, how much (in kilograms) of each HFC was provided to each customer in 2018, 2019 and 2020? | ||||||
| Application | Company Name | HFC | 2018 | 2019 | 2020 | 2018 | 2019 | 2020 |
| DRAFT | |||||||||
| 6. Please specify the quantity (in kilograms) of each HFC imported, produced in the United States by your company, or purchased from another U.S. company in 2018, 2019 and 2020. | |||||||||
| HFC | Imported by your company | Produced in the U.S. by your company | Purchased from another U.S. company | ||||||
| 2018 | 2019 | 2020 | 2018 | 2019 | 2020 | 2018 | 2019 | 2020 | |
| HFC–134 | |||||||||
| HFC–134a | |||||||||
| HFC–143 | |||||||||
| HFC–245fa | |||||||||
| HFC–365mfc | |||||||||
| HFC–227ea | |||||||||
| HFC–236cb | |||||||||
| HFC–236ea | |||||||||
| HFC–236fa | |||||||||
| HFC–245ca | |||||||||
| HFC–43–10mee | |||||||||
| HFC–32 | |||||||||
| HFC–125 | |||||||||
| HFC–143a | |||||||||
| HFC–41 | |||||||||
| HFC–152 | |||||||||
| HFC–152a | |||||||||
| HFC–23 | |||||||||
| DRAFT | |
| 7. Are there quality issues with the HFC that is being used in the application, such as minimum purity specifications? If yes, please explain what the quality requirements are. | |
| 8. Could your company use recovered, recycled or reclaimed HFCs for any of the HFCs you currently supply for use in the applications listed in subsection (e)(4)(B)(iv) of the AIM Act? If no, why? How much of each HFC do you expect could be met with recovered, recycled or reclaimed HFCs in this application? | |
| 9. To your knowledge, is there any limitation on which HFC can be used in this application? If so, why? |
| 10. Has your company considered a transition plan to lower-GWP HFCs and/or HFC alternatives? If yes, have you assessed whether there are low-GWP alternatives to the HFCs that you currently supply, including other HFCs? Do you work with your customers to evaluate if the alternatives can work in these applications? | |
| 11. Is 2020 a representative year for your use, or are there reasons why 2020 is higher or lower than past years? |
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |